Fundamentals Kaplan Integrated Test
A physician orders nutritional therapy administered via a central vein for a client who cannot
take foods orally. What is the term for this type of nutrition? - *answers * Total parenteral
nutrition (TPN)
Which client would be a candidate for total parenteral nutrition? - *answers * A client with
colitis and bloody diarrhea
A nurse is developing a plan of care for a client who is at high risk for developing pressure
injuries. Which intervention should the nurse include in the plan to prevent the development of
pressure injuries? Select all that apply. - *answers * provide incontinent care every 2 hours and
as needed.
turn the client every 2 hours when the client is in bed.
encourage the client to take fluids every 2 hours.
Which nursing interventions reflect the accurate use of heat or cold during wound care? Select
all that apply. - *answers * The nurse makes more frequent checks of the skin of an older adult
using a heating pad.
The nurse fills an ice bag with small pieces of ice to about two-thirds full.
The nurse covers a cold pack with a cotton sleeve to keep it in place on an arm.
The nurse is caring for a client with an ankle sprain. Which client statement regarding an ice
pack indicates that nursing teaching has been effective? - *answers * "I will put a layer of cloth
between my skin and the ice pack."
A nurse is caring for a postoperative client. What intervention(s) will help prevent
thrombophlebitis? Select all that apply. - *answers * Leg range of motion exercises
Sequential compression devices (SCDs) and antiembolic stockings
Early ambulation as tolerated
Frequent turning and positioning
, Fundamentals Kaplan Integrated Test
The nurse observes a client independently move all the joints through their normal motions.
Which range of motion has the client demonstrated? - *answers * Active range of motion
A client has had a stroke and will require long-term tube feeding. Which type of feeding tubes
would be most appropriate for this client's needs? - *answers * Gastrostomy tube
A new unlicensed assistive personnel (UAP) is preparing to ambulate an obese client. The
registered nurse (RN) is concerned about the UAP's ability to safely ambulate the client. Which
would be the nurse's most appropriate action? - *answers * Tell the UAP that the RN will assist
the UAP with the client's ambulation.
The physician has ordered that the client should ambulate 3 times a day. The nurse enters the
room to ambulate the client and the client reports pain. What is the nurse's most appropriate
action? - *answers * Medicate the client and wait to ambulate later.
The nurse is caring for an older adult client who states the need to use the restroom. Which
safety intervention must the nurse perform first? - *answers * Assess the need for assistance
with ambulation.
The nurse is caring for a client who is postoperative 3 days from coronary artery bypass graft.
The client has a prescription to ambulate. What is the best action by the nurse? - *answers *
Discuss with the client the need for assistance during ambulation.
A client who is bedridden and dependent has been ordered to resume an oral diet. When
feeding the client, the nurse should perform what action? - *answers * Assist the client into a
high-Fowler's position.
The charge nurse is observing a new nurse care for a client who is receiving a continuous
feeding through a nasogastric feeding tube. Which action by the new nurse would require
A physician orders nutritional therapy administered via a central vein for a client who cannot
take foods orally. What is the term for this type of nutrition? - *answers * Total parenteral
nutrition (TPN)
Which client would be a candidate for total parenteral nutrition? - *answers * A client with
colitis and bloody diarrhea
A nurse is developing a plan of care for a client who is at high risk for developing pressure
injuries. Which intervention should the nurse include in the plan to prevent the development of
pressure injuries? Select all that apply. - *answers * provide incontinent care every 2 hours and
as needed.
turn the client every 2 hours when the client is in bed.
encourage the client to take fluids every 2 hours.
Which nursing interventions reflect the accurate use of heat or cold during wound care? Select
all that apply. - *answers * The nurse makes more frequent checks of the skin of an older adult
using a heating pad.
The nurse fills an ice bag with small pieces of ice to about two-thirds full.
The nurse covers a cold pack with a cotton sleeve to keep it in place on an arm.
The nurse is caring for a client with an ankle sprain. Which client statement regarding an ice
pack indicates that nursing teaching has been effective? - *answers * "I will put a layer of cloth
between my skin and the ice pack."
A nurse is caring for a postoperative client. What intervention(s) will help prevent
thrombophlebitis? Select all that apply. - *answers * Leg range of motion exercises
Sequential compression devices (SCDs) and antiembolic stockings
Early ambulation as tolerated
Frequent turning and positioning
, Fundamentals Kaplan Integrated Test
The nurse observes a client independently move all the joints through their normal motions.
Which range of motion has the client demonstrated? - *answers * Active range of motion
A client has had a stroke and will require long-term tube feeding. Which type of feeding tubes
would be most appropriate for this client's needs? - *answers * Gastrostomy tube
A new unlicensed assistive personnel (UAP) is preparing to ambulate an obese client. The
registered nurse (RN) is concerned about the UAP's ability to safely ambulate the client. Which
would be the nurse's most appropriate action? - *answers * Tell the UAP that the RN will assist
the UAP with the client's ambulation.
The physician has ordered that the client should ambulate 3 times a day. The nurse enters the
room to ambulate the client and the client reports pain. What is the nurse's most appropriate
action? - *answers * Medicate the client and wait to ambulate later.
The nurse is caring for an older adult client who states the need to use the restroom. Which
safety intervention must the nurse perform first? - *answers * Assess the need for assistance
with ambulation.
The nurse is caring for a client who is postoperative 3 days from coronary artery bypass graft.
The client has a prescription to ambulate. What is the best action by the nurse? - *answers *
Discuss with the client the need for assistance during ambulation.
A client who is bedridden and dependent has been ordered to resume an oral diet. When
feeding the client, the nurse should perform what action? - *answers * Assist the client into a
high-Fowler's position.
The charge nurse is observing a new nurse care for a client who is receiving a continuous
feeding through a nasogastric feeding tube. Which action by the new nurse would require
